| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $1,412.54 | |
Aetna
| Professional | $53.70 | $79.43 | $91.20 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $69.18 | $85.11 | $141.25 |